Diabetes Flashcards

1
Q

manually systolic pressure is read when you hear phase 1, what sound is this

A

tapping

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2
Q

diastolic pressure is read when what sound ends and then comes silence

A

blowing sound

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3
Q

before measuring bp you should ensure that the patient is relaxed by allowing them x mins to relax

A

5

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4
Q

how should the patient sit for bp measurement

A

upright
arm at heart height
feet flat on floor

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5
Q

what should you use on a bp cuff to ensure that the patients arm comes within the range

A

index line

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6
Q

what 3 equipment do you need for manual bp?

A
  1. A stethoscope
  2. An appropriately sized blood pressure cuff
  3. A sphygmomanometer
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7
Q

it is important to palpate which artery so that the corresponding marker on the cuff points to it

A

brachial

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8
Q

when the bp has inflated enough to stop blood flow what should you hear

A

nothing

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9
Q

if a persons normal bp is unknown what systolic can you inflate to

A

160-180

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10
Q

you should take bp readings in both arms and average them, to check the pressure again how long should you wait between readings for accuracy

A

5 mins

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11
Q

equipment used for diabetic foot check

A

10g monofilament, a 128Hz tuning fork, ultrasound gel and a
doppler

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12
Q

Examine both feet in foot check for what?

A

cyanosis
necrosis
hair growth
fungal infection
temp

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13
Q

where do you put the microfilament?

A

5 spots: bottom of first and third toe
under 1st 3rd and 5th toe

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14
Q

where do you put tuning fork?

A

on bony aspect, under big toe

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15
Q

what do diabetic foot checks test for

A

neuropathy

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16
Q

why would you check the feet for hair growth

A

shows perfusion

17
Q

which pulses would you palpate on the feet

A

dorsalis pedis and posterior tibial

18
Q

you can use quick capillary refill time on the toes and after 5 seconds of pressing normal colour should return in x seconds

A

2

19
Q

if a patient cannot feel the tuning fork what might that indicate

A

neuropathy

20
Q

the tuning fork is important to check for bone conduction hence its placement and also ensure what infection isnt present

A

osteomyelitis

21
Q

what is used for asculatation of the feet

A

doppler

22
Q

the gel size amount applied to the foot for doppler is the same as what coin

A

50p

23
Q

what is the glucose level for a non diabetic before meals

A

4-5.9 mmol/l

24
Q

what is the glucose level for a non diabetic after meals (at least 90 mins)

A

under 7.8 mmol/l

25
Q

red flags for high bp for some time that prompt referall to 111

A

feeling sick
being sick
stomach pain
quicker breathing
faster heartbeats
drowsiness
fruity breath
confused
high ketones

26
Q

how is CBGM done?

A

dexcom device